Garg Meenal, Kulkarni Shilpa D, Patil Varsha, Sayed Rafat, Hegde Anaita Udwadia
Department of Pediatric Neurosciences, Bai Jerbai Wadia Hospital for Children, Parel, Mumbai, Maharashtra, 400012, India.
Indian J Pediatr. 2017 Apr;84(4):315-321. doi: 10.1007/s12098-016-2276-y. Epub 2016 Dec 21.
The syndrome of acute flaccid paralysis (AFP) is a common medical emergency in children. In the era of poliomyelitis eradication, the common causes of AFP include Guillain-Barré syndrome (GBS), transverse myelitis and traumatic neuritis. However, many common diseases can uncommonly present as AFP and some uncommon diseases may also masquerade like it. Uncommon causes of AFP seen at a tertiary care pediatric hospital are discussed along with relevant points in diagnosis and management. Also, common pitfalls in diagnosis of pediatric AFP and an approach to investigations are discussed.
急性弛缓性麻痹(AFP)综合征是儿童常见的医疗急症。在脊髓灰质炎根除时代,AFP的常见病因包括吉兰-巴雷综合征(GBS)、横贯性脊髓炎和创伤性神经炎。然而,许多常见疾病可能罕见地表现为AFP,一些罕见疾病也可能伪装成AFP。本文讨论了在三级护理儿科医院中见到的AFP的罕见病因以及诊断和管理中的相关要点。此外,还讨论了儿科AFP诊断中的常见陷阱及调查方法。